Individual provider Active NPI

Claudia Neely

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1881968253
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004454-1 Issued in NY
Practice address
164 Carroll St
Brooklyn, NY 11231-3508
Phone
(917) 671-6587
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004454-1 NY Primary

Addresses

Primary practice location

164 Carroll St
Brooklyn, NY 11231-3508

Mailing address

164 Carroll St
Brooklyn, NY 11231-3508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250109001215 NY Practitioner - Physician Assistant 0446788186 Reassigns benefits to 1 organization
I20250818002013 FL Practitioner - Physician Assistant 0446788186 Reassigns benefits to 1 organization
I20250822003040 NJ Practitioner - Physician Assistant 0446788186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluesleep PCGroup PAC ID 9537699541, 9 clinicians
Jordan C. Stern M.D.P.CGroup PAC ID 0749321800, 10 clinicians

Practice addresses (Care Compare)

111 Town Square PL
Suite 1203
Jersey City, NJ 07310-2784
Phone (212) 683-0174

245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (212) 683-0174

2820 NE 214TH St
Suite 801
Aventura, FL 33180-1269
Phone (212) 683-0174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004454-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C. Stern M.D.P.C CurrentSince Dec 8, 2024 Accepting new patients
Jordan C. Stern M.D.P.C CurrentSince Aug 5, 2025 Accepting new patients
Long Island College Hospital Physician Assistant Past Accepting new patients

Locations

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

169 Madison Ave
Ste 15025
New York, NY 10016

65 Broadway
Ste 901
New York, NY 10006
Phone (212) 979-4200

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1881968253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313508",
            "telephone_number": "917-671-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "CLAUDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004454-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.